Written by: Center for Care Innovations

Launched in 2011, the Health Home Innovation Fund (HHIF) supported partnerships among safety net institutions to build patient-centered, integrated systems of care and explores options for payment reform to sustain health home implementation.

In partnership with The California Endowment, the Center for Care Innovations (CCI) funded eight geographically diverse collaborative projects for two years to facilitate health home transformation. The strategies and activities to transform systems of care vary by collaborative, but all grantees applied the resources and flexible funding available through this grant to implement complex changes and learn through experience, what it takes to prepare for a new health care environment. The program created multi-stakeholder regional collaboratives that pursued improvements in operational practices, complex care management, and information technology infrastructure.

The Patient Protection and Affordable Care Act (ACA) and California’s Section 1115 Waiver (Bridge to Reform Medicaid Demonstration Waiver) are accelerating the push for quality improvement and practice transformation efforts in local health care delivery systems. Provisions in the ACA include Patient Centered Medical Homes (PCMH) or health homes for the millions of additional persons eligible for health coverage in 2014. Health delivery system practice transformation requires complex system redesign to realize the ultimate goal of achieving the Triple Aim with improved population health outcomes, enhanced patient experience, and lowered overall costs of care.

Achieving Core PCMH Components

Nationally, the National Committee for Quality Assurance (NCQA) PCMH 2011 standards provide the primary method for practices to evaluate the implementation of core components of the PCMH. NCQA standards have emerged as the basis for practice recognition and certification as a PCMH. In California, the California Primary Care Association (CPCA) has complimentary working principles for patient-centered health homes (PCHH) and actively encourages clinic members to pursue certification. This presentation discusses the key components to achieving PCMH.

Year 1 Outcomes

This brief provides a snapshot of the implementation progress and experiences of the eight collaborative projects in the first year of the Health Home Innovation Fund (HHIF)

Three HHIF Projects – Brief

This brief summarizes the strategies three HHIF collaborative projects implemented to address the needs of patients with complex and chronic health conditions. We highlight the implementation experiences, including accomplishments and challenges, lessons learned, effective components of the various models and plans for sustainability.

Final Report

This final report explores the findings of the program evaluators, Desert Vista Consulting, including the progress made by grantee partners and the lessons learned from their experiences implementing various elements of the health home model.